Oh, my! I must have been lucky because the PT and I discussed the problems, diagnosis, etc., in detail. At the first visit, she told me one leg was shorter than the other (not unusual) and placed a "lift" inside that shoe, had me walk around, adjusted it, walk some more, adjusted it until my gait was equalized. You are correct in that the purpose is to build muscle strength to support spine/hip problems. The facility is a seven minute easy drive from my home.
After about six weeks of going, life became very busy and I asked her to put together an at home program. She printed out the exercises, some of which are yoga-based, organized them in a specific sequence with stretches first, then graduating to the more difficult ones. Different ones, every other day. And one thing she told me was not to "push" myself too hard, a behavior which she had observed.
I am so sorry your experience was not the best! Today, my equipment is being moved to a new area in my home which will make getting back to it much better.
The interesting thing is that she also said she thinks my hip is greatly contributing to this back problem. I tend to agree with her but have not been back to doctor to confirm. A hip replacement may be in my future. Ugh.
There are Physical Therapy clinics (PTC), and then there's Physical Medicine and Rehabilitation (PM&R) facilities, and there's a massive difference between the two. It's standardized physical therapy exercises vs physical rehabilitation and healing.
My introduction to therapy was at a PM&R facility, and my
licensed therapist was just as you described. She'd gone over all my medical records and images, asked me relevant questions at an in-person assessment, established a baseline, and tailored my rehabilitation accordingly.
I could barely walk when I started. Actually, I couldn't walk at all without holding onto the nearest thing. My legs didn't propel me forward, I
fell forward to latch onto the next pole, pillar, or piece of furniture, and dragged my legs up to me. I couldn't even use a walker yet. My legs weren't paralyzed, they just constantly did their own thing; shook, twitched, flailed, or played dead.
Within 6 weeks, I was walking in and out of that place like a normal person with a slight limp. That was about 30 years ago. I've been to a PTC three times over the years since, and it was time wasted. 100%.
The last clinic I went to paired me with a therapist who knew nothing about me and didn't ask me any questions except one: "Do you go by Frank or Franklin?" (Franklin is my given name. I go by Frank.) Other than my preferred name, all she knew was which PT program she was to use from a menu of probly fewer than half a dozen. It was like going to a McDonald's where a complete stranger selects your meal for you.
I was greeted by this bleached-blond, heavily made-up, 30-something woman whose boobs were probably only 30% natural, and it was immediately obvious she had minimal training, like she'd gone to some career college for a one-semester course, or worse, completed an "at your own pace" online course.
Unbelievably, she wore a cowgirl hat and high-heel boots, had a ring on every finger, and she was in her street clothes; an urban-cowgirl Elly Mae-ish kind of outfit. She had me lie on the bare floor...
the bare floor...while she sat on the edge of a table swinging her dangling pink and green cowgirl-booted feet, and read off instructions from 2 sheets of paper. "Okay, now lay your arms above your head and lift your butt. Okay, good, now rest your left ankle on your right knee...." and so forth. She only took her eyes off those papers to briefly compare what I was doing to the illustrations on them before moving on to the next thing.
Would have been picture-perfect if a blade of straw-grass hung from her lip.
That was like 5 or 6yrs ago. I went that one time, and haven't gone to a PTC since. I have an appointment at my med group's PM&R facility next month, but it's for trigger-point injections ...with an actual doctor. And I've been his patient for about a dozen years now.